Dr Bruce E Roberts, MD | |
5345 Highway 18 W, Jackson, MS 39209-9421 | |
(601) 924-5007 | |
(601) 923-9921 |
Full Name | Dr Bruce E Roberts |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 5345 Highway 18 W, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770570038 | NPI | - | NPPES |
C48217 | Other | MS | DR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 09179 (Mississippi) | Primary |
207P00000X | Emergency Medicine | 09179 (Mississippi) | Secondary |
Entity Name | Independent Healthcare Management Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
Mailing Address | Practice Location Address |
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Dr Bruce E Roberts, MD 5345 Highway 18 W, Jackson, MS 39209-9421 Ph: (601) 924-5007 | Dr Bruce E Roberts, MD 5345 Highway 18 W, Jackson, MS 39209-9421 Ph: (601) 924-5007 |
Dr. Omar Hasan, General Practice Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St # N408, Jackson, MS 39216 Phone: 601-984-2828 | |
Mr. Timothy Duncan Estes, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2860 Mcdowell Road Ext, Jackson, MS 39204 Phone: 601-372-1117 Fax: 601-373-3004 | |
Dr. James Matthews Harrison, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Emergency Dept., Jackson, MS 39216 Phone: 601-984-4001 | |
Kathryn Wolff, General Practice Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Iliana Ramirez-saldana, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Anesthesiology, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Dr. Byrd Lamar Payne, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1205 Lyncrest Ave, Jackson, MS 39202 Phone: 601-354-2101 |